Influence of Hormonal Contraceptive Use and Health Beliefs on Sexual Orientation Disparities in Papanicolaou Test Use
Influence of Hormonal Contraceptive Use and Health Beliefs on Sexual Orientation Disparities in Papanicolaou Test Use
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DOI：
10.2105/ajph.2012.301114
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发表时间：
2014-02-01
影响因子：
12.7
通讯作者：
Austin, S. Bryn
中科院分区：
文献类型：
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作者：
Charlton, Brittany M.;Corliss, Heather L.;Austin, S. Bryn
目标.生殖健康检查是优质保健的必要组成部分。然而，性少数群体比异性恋者更多地利用巴氏试验，原因尚不清楚。我们的目的是研究是否激素避孕药的使用较少或对巴氏试验的积极健康信念较少解释巴氏试验意图和利用率的性取向差异。我们采用多变量回归分析方法，对3821名年龄在18 - 25岁的女性进行了前瞻性数据分析。在女同性恋者中，激素避孕药使用较少解释了巴氏试验意向差异的8.6%和巴氏试验利用率差异的36.1%。与巴氏试验相关的不太积极的健康信念解释了19.1%的巴氏试验意向差异。总之，激素避孕药的使用较少和积极的健康信念较少解释了29.3%的巴氏试验意向差异和42.2%的巴氏试验使用差异。激素避孕药的使用和健康信念，在较小程度上，有助于解释性取向的差异，在意图和接受巴氏试验，特别是女同性恋者。
Objectives. Reproductive health screenings are a necessary part of quality health care. However, sexual minorities underutilize Papanicolaou (Pap) tests more than heterosexuals do, and the reasons are not known. Our objective was to examine if less hormonal contraceptive use or less positive health beliefs about Pap tests explain sexual orientation disparities in Pap test intention and utilization.Methods. We used multivariable regression with prospective data gathered from 3821 females aged 18 to 25 years in the Growing Up Today Study (GUTS).Results. Among lesbians, less hormonal contraceptive use explained 8.6% of the disparities in Pap test intention and 36.1% of the disparities in Pap test utilization. Less positive health beliefs associated with Pap testing explained 19.1% of the disparities in Pap test intention. Together, less hormonal contraceptive use and less positive health beliefs explained 29.3% of the disparities in Pap test intention and 42.2% of the disparities in Pap test utilization.Conclusions. Hormonal contraceptive use and health beliefs, to a lesser extent, help to explain sexual orientation disparities in intention and receipt of a Pap test, especially among lesbians.